HESI Exit Exam (V2) 2025
Actual Questions & Answers
to Pass the Exam, 100%
Verified
This Exam Contains:
HESI Exit Exam (V2)
Actual Questions & Answers
150+ Q’s & A’s
Expert Verified Solution
,1. A client has an order for 1000 ml of D5W over an 8 hour period.
The nurse discovers that 800 ml has been infused after 4 hours.
What is the priority nursing action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
C) Check the vital signs
D) Auscultate the lungs:
The correct answer is D: Auscultate the lungs
2. Following change-of-shift report on an orthopedic unit, which
client should the nurse
see first?
A) 16 year-old who had an open reduction of a fractured wrist 10
hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motorcycle
accident
C) 72 year-old recovering from surgery after a hip replacement 2
hours ago
D) 75 year-old who is in skin traction prior to planned hip
,pinning surgery.:
The correct answer is C: 72 year-old recovering from surgery after hip replacement 2 hours ago
3. The nurse knows which statement by the mother indicates
that the moth- er understands safety precautions with her
four month-old infant and her 4year-old child?
A) "I strap the infant car seat on the front seat to face
backwards." B) "I place my infant in the middle of the living
room floor on a blanket to play with my 4 year old while I make
supper in the kitchen."
C) "My sleeping baby lies so cute in the crib with the little
buttocksstuck up in the air
while the four year old naps on the sofa."
D) "I have the 4 year-old hold and help feed the four month-old
bottle in the kitchen
while I make supper.":
The correct answer is D: "I have the four year-old hold and help feed the four month-
old a bottle in the kitchen
4. Upon completing the admission documents, the nurse learns
that the 87 year-old client does not have an advance directive.
, What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary;:
The correct answer is B: Give information about advance directives
5. A nurse administers the influenza vaccine to a client in a clinic.
Within 15 minutes after the immunization was given, the client
complains of itchy and watery eyes, increased anxiety, and
difficulty breathing. The nurse expects that the first action in the
sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered: The correct answer is B:
Administer epinephrine 1:1000 as ordered .
Actual Questions & Answers
to Pass the Exam, 100%
Verified
This Exam Contains:
HESI Exit Exam (V2)
Actual Questions & Answers
150+ Q’s & A’s
Expert Verified Solution
,1. A client has an order for 1000 ml of D5W over an 8 hour period.
The nurse discovers that 800 ml has been infused after 4 hours.
What is the priority nursing action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
C) Check the vital signs
D) Auscultate the lungs:
The correct answer is D: Auscultate the lungs
2. Following change-of-shift report on an orthopedic unit, which
client should the nurse
see first?
A) 16 year-old who had an open reduction of a fractured wrist 10
hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motorcycle
accident
C) 72 year-old recovering from surgery after a hip replacement 2
hours ago
D) 75 year-old who is in skin traction prior to planned hip
,pinning surgery.:
The correct answer is C: 72 year-old recovering from surgery after hip replacement 2 hours ago
3. The nurse knows which statement by the mother indicates
that the moth- er understands safety precautions with her
four month-old infant and her 4year-old child?
A) "I strap the infant car seat on the front seat to face
backwards." B) "I place my infant in the middle of the living
room floor on a blanket to play with my 4 year old while I make
supper in the kitchen."
C) "My sleeping baby lies so cute in the crib with the little
buttocksstuck up in the air
while the four year old naps on the sofa."
D) "I have the 4 year-old hold and help feed the four month-old
bottle in the kitchen
while I make supper.":
The correct answer is D: "I have the four year-old hold and help feed the four month-
old a bottle in the kitchen
4. Upon completing the admission documents, the nurse learns
that the 87 year-old client does not have an advance directive.
, What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary;:
The correct answer is B: Give information about advance directives
5. A nurse administers the influenza vaccine to a client in a clinic.
Within 15 minutes after the immunization was given, the client
complains of itchy and watery eyes, increased anxiety, and
difficulty breathing. The nurse expects that the first action in the
sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered: The correct answer is B:
Administer epinephrine 1:1000 as ordered .
